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Agency Name: Indian River County Sheriffs Offfice <br /> RELATED PARTIES QUESTIONNAIRE <br /> 'iis form must be completed and signed by the Executive Director or an agency official who is authorized <br /> to enter into contractual agreements. <br /> 1. Are there currently any family relationships that exist between the board of directors, the agency's YES/NO <br /> principal officers, the agency's employees, and any independent contractors? NO <br /> If yes, describe any and all family relationships that exist. <br /> 2. Are you aware of any interests, direct or indirect, that exist with the current board of directors, the current <br /> agency principal officers, the current agency employees, or any current independent contractors in the following <br /> area? <br /> YES/NO <br /> (a) Sale, purchase, exchange, or leasing of property? NO <br /> (b) Receiving or furnishing of goods, services, or facilities? NO <br /> (c) Transfer or receipt of compensation, fringe benefits, or income or assets? NO <br /> (d) Maintenance of bank balances as compensating balances for the benefit of another? <br /> NO <br /> If yes to any above, describe any and all interests that you are aware of at this time. <br /> 3. Are any current board of directors, current agency's principal officers, current agency's employees, YES/NO <br /> or any current independent contractors indebted to the agency? NO <br /> If yes, describe the nature of the debt. <br /> Page 25 <br /> 103 <br />